Kimberly A Jayjack, ACNS

Primary specialty

Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X

License

280994705A Issued in IN

Practice address

7214 Jeffrey St
Schererville, IN 46375-3511

Phone

(219) 865-9312

NPI assigned

May 18, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1801156302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7214 JEFFREY ST",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753511",
            "telephone_number": "219-765-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7214 JEFFREY ST",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753511",
            "telephone_number": "219-865-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYJACK",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "ACNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "IN",
            "license": "280994705A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Continuing Education/Staff Development Registered Nurse in Schererville, IN
• Providers in Schererville, IN by specialty
• Continuing Education/Staff Development Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.